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Individual

WYKEMIA SWAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
2010 OLD GREENBRIER RD STE J, CHESAPEAKE, VA 23320-2619
(757) 493-2912
Mailing address
541 NORMANDY ST, PORTSMOUTH, VA 23701-4311
(757) 577-2618

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001228363
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024182133
VA

Other

Enumeration date
07/14/2021
Last updated
07/14/2021
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